| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Abbott v Brefni Corporate Pty Ltd [2025] NSWPICMP 491 |
| APPELLANT: | Greg Abbott |
| RESPONDENT: | Brefni Corporate Pty Ltd |
| APPEAL PANEL | |
| MEMBER: | Gaius Whiffin |
| MEDICAL ASSESSOR: | Douglas Andrews |
| MEDICAL ASSESSOR: | Graham Blom |
| DATE OF DECISION: | 9 July 2025 |
CATCHWORDS: | WORKERS COMPENSATION - Workplace Injury Management and Workers Compensation Act 1998; review of Medical Assessment Certificate (MAC); appeal against Medical Assessor’s (MA) assessment of impairment in relation to psychiatric and psychological disorders; appellant alleged that error in history taken by MA concerning a person other than the claimant in the initial MAC infected the entire assessment process; later attempt by MA to correct error in subsequent certificate; demonstrable error found; failure to explain path of reasoning in sufficient detail; assessment where there is more than a mere difference of opinion on a matter about which reasonable minds may differ; failure to consider relevant and significant material; New South Wales Police Force v Registrar of the Workers Compensation Commission of New South Wales, Mahenthirarasa v State Rail Authority of New South Wales, Wingfoot Australia Partners Pty Ltd v Kocak, Campbelltown City Council v Vegan, Queanbeyan Racing Club Ltd v Burton, Merza v Registrar of the Workers Compensation Commission and Anor, Ferguson v State of New South Wales, Parker v Select Civil Pty Limited, Vitaz v Westform (NSW) Pty Ltd, Western Sydney Local Health District v Chan, Prasad v Workers Compensation Commission, Tattersall v Registrar of the Workers Compensation Commission of NSW and Anor, Ballas v Department of Education (NSW), and Coca-Cola Europacific Partners API Pty Ltd v Pombinho considered; Held – having found error, the Appeal Panel determined a further medical examination of the appellant was required, which provided different assessments to the MA; the Appeal Panel adopted those assessments; MAC revoked and new MAC issued. |
BACKGROUND TO THE APPLICATION TO APPEAL
On 27 February 2025, Greg Abbott (the appellant) lodged an Application to Appeal Against the Decision of a Medical Assessor (the Appeal). The relevant medical dispute was assessed by Medical Assessor Ankur Gupta (the Medical Assessor), who issued a Medical Assessment Certificate (MAC) on 14 February 2025.
The appellant relies on the following grounds of appeal under s 327(3) of the Workplace Injury Management and Workers Compensation Act 1998 (the 1998 Act):
· the assessment was made on the basis of incorrect criteria, and
· the MAC contains a demonstrable error.
The President’s delegate has been satisfied (in accordance with her decision dated 25 March 2025) that, on the face of the application, at least one ground of appeal has been made out. The Appeal Panel has therefore been convened and it has conducted a review of the original medical assessment - limited to the grounds of appeal on which the Appeal is made.
Rule 128 of the Personal Injury Commission Rules 2021 (the Rules) and Procedural Direction PIC7 set out the practice and procedure in relation to the medical appeal process under s 328 of the 1998 Act. An appeal panel determines its own procedures in…
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- Case
- [2025] NSWPICMP 491
- Decision Date
CaseChat Overview and Summary
The court had to decide whether the MA's assessment was legally sound and whether the Appeal Panel was correct in revoking the Medical Assessment Certificate (MAC) and issuing a new one. The legal issues involved determining whether the error in the MA's assessment was merely a difference of opinion or if it was a demonstrable error that required the Appeal Panel to adopt a different assessment. The court also had to consider whether the MA's failure to sufficiently explain the reasoning behind the assessment and the failure to consider relevant material amounted to a legally flawed assessment.
The Appeal Panel found that there was a demonstrable error in the MA's assessment due to the incorrect history taken and the failure to sufficiently explain the path of reasoning. The Appeal Panel also found that the MA failed to consider relevant and significant material. The court referred to several cases to support the decision that the assessment was flawed and that the Appeal Panel was correct in revoking the MAC and issuing a new one. The Appeal Panel determined that a further medical examination of Abbott was required, which provided different assessments to the MA. The Appeal Panel adopted those assessments, revoked the original MAC, and issued a new MAC.
The final orders included the revocation of the original MAC and the issuance of a new MAC based on the assessments provided by the further medical examination.
Orders
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Background
Background to the litigation
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Evidence
Evidence Before The Court
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Decision
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Ratio Decidendi
Legal Principle Established
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